Madison Psychotherapy Center, Llc | |
702 N Blackhawk Ave Suite 205 Madison WI 53705-3357 | |
(608) 233-3037 | |
(608) 233-5893 |
Full Name | Madison Psychotherapy Center, Llc |
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Speciality | Social Worker - Clinical |
Location | 702 N Blackhawk Ave, Madison, Wisconsin |
Authorized Official Name and Position | Mary Ellen Miller (PSYCHOTHERAPIST) |
Authorized Official Contact | 6082333037 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Madison Psychotherapy Center, Llc 702 N Blackhawk Ave Suite 205 Madison WI 53705-3357 Ph: (608) 233-3037 | Madison Psychotherapy Center, Llc 702 N Blackhawk Ave Suite 205 Madison WI 53705-3357 Ph: (608) 233-3037 |
NPI Number | 1902023435 |
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Provider Enumeration Date | 04/19/2007 |
Last Update Date | 03/05/2015 |
Identifier | Type | State | Issuer |
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1902023435 | NPI | - | NPPES |
42177200 | Medicaid | WI |
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